Tuberculous Epididymitis Mimicking a Testicular Tumour: A Case Report

Tuberculosis is a disease that affects almost every organ. The diagnosis and treatment of primary genitourinary tuberculosis is cumbersome and often requires invasive procedures for diagnosis. It is mandatory to differentiate tuberculous epididymitis from other causes of intrascrotal diseases such as bacterial epididiymitis and tumors. We discussed a case of tuberculous epididymitis presenting with a scrotal mass, to emphasize that tuberculous should also be considered in the differential diagnosis, besides malignanc

Laparoscopic Ureterolithotomy.

Background and Objective: The present study retrospectively analyzed the data of 213 patients who underwent laparoscopic ureterolithotomy

Morbid obezite üreter üst uç taşlarına uygulanan ESWL'nin başarı ve komplikasyon oranlarını etkiler mi?

Amaç: Bu çalışmada obezitenin vücut dışından şok dalga tedavisi (ESWL) sonuçları üzerindeki etkisini araştırmayı amaçladık. Gereç ve yöntemler: Retrospektif olarak yapılan bu çalışmada Haziran 2011 ve Mayıs 2014 yılları arasında ESWL yapılmış 134 hasta değerlendirildi. ESWL yapılan hastalar iki gruba ayrıldı. İki grupda üreter üst uç taşına sahipdi. Grup 1 94 normal kiloya sahip, grup 2 ise 40 morbid obez hastadan oluşmaktaydı. Bulgular: Grup 1 ve 2 için ortalama yaşları sırasıyla 45,6±12,1 ve 45,3±15,5’di (p=0,98). Gruplar arasında demografik veriler açısından istatistiksel fark saptanmadı. Taş boyutu ve vücut kitle indeksi (VKİ) grup 1 ve grup 2 için sırasıyla 81,7±25,7 mm² ve 86,3±22,4 mm² (p=0,51), 27,4±2,9 ve 42,9±2,1 (p<0,01) olarak bulundu. Ortalama hastalara uygulanan ESWL seansı sayısı 2,4±0,6 ve 2,4±0,7 (p=0,97) ve takip süresi 7,1±3,4 ve 6,6±2,8 haftaydı (p=0,67). Tam taşsızlık oranları grup 1 ve 2 için %82 ve %67 olarak bulundu ve istatistiksel olarak anlamlıydı (p=0,01). Sonuç: Morbid obez hastaların eşlik eden birçok komorbidite sebebiyle anesteziye bağlı komplikasyonlara daha fazla yatkın oldukları bilinmektedir. Bu çalışmada biz ESWL’nin morbid obez hastalar için güvenli ve kabul edilebilir bir seçenek olduğunu bulduk.Objective: The aim of the current study was to investigate whether obesity influences the outcome of extra- corporeal shockwave lithotripsy (ESWL) treatment for upper ureteral stones. Material and methods: This is a retrospective study of 134 patients who underwent ESWL between June 2011 and May 2014. Patients were divided into 2 groups. Group 1 comprised 94 patients of normal weight, and group 2 comprised 40 morbidly obese patients. Patients in both groups had upper ureteral stones. Results: The mean age of groups 1 and 2 was 45.6±12.1 and 45.3±15.5 years, respectively (p=0.98). There was no significant difference in demographic variables between the groups. The mean stone size in Groups 1 and 2 was 81.7±25.7 mm&sup2; and 86.3±22.4 mm&sup2;, respectively (p=0.51), the mean body mass index (BMI) was 27.4±2.9 and 42.9±2.1, respectively (p<0.01), the mean number of ESWL sessions was 2.4±0.6 and 2.4±0.7, respectively (p=0.97), and the mean follow-up time was 7.1±3.4 and 6.6±2.8 weeks, respectively (p=0.67). The overall stone-free rate was 82% in group 1 and 67% in group 2 (p=0.01). Conclusion: It is well-known that morbidly obese patients have higher rates of anesthesia-related problems due to the comorbidities commonly observed in this population. In the current study, we found that ESWL is a safe and acceptable treatment option for morbidly obese patients with upper ureteral stones

A rare emergency: testicular torsion in the inguinal canal.

Objectives. To report our experience and present the largest series of testicular torsion cases in the inguinal canal. Material and Methods. The clinical data of 13 patients with testicular torsion in the inguinal canal treated between 2005 and 2013 were reviewed. Recorded patient age, whether the testes were palpable or not, side of the affected testes, the presence of hernia, ischemia time, and operation outcomes were assessed. Results. Patient age ranged from 8 to 70 months (29.15 ± 20.22). Mean ischemia time was 16.5 ± 21.3 hours. Accompanying inguinal hernia was present in 92% of the cases (12/13). Four of the thirteen patients (30.8%) were treated by orchiectomy because the necrosis was present after prolonged ischemia time. Nine patients (69.2%) were treated by single session orchidopexy. Conclusion. Torsion of testes in the inguinal canal is a rare disease, but with rapid diagnosis, affected testes can be salvaged, but the key factor is to keep this condition in mind

Comparison of Percutaneous Nephrostomy and Ureteral DJ Stent in Patients with Obstructive Pyelonephritis: A Retrospective Cohort Study

Purpose Comparing the two different drainage methods of percutaneous nephrostomy (PCN) versus retrograde ureteral double – J (DJ) stent insertion in patients with obstructive pyelonephritis cases. Material and methods In this retrospective study, patients with obstructive pyelonephritis secondary to urolithiasis who underwent PCN or DJ insertion were included in the study. Patients were divided into two groups according to drainage method. After exclusion criteria, the study included 105 patients. The groups were compared for intraoperative outcomes, duration of fluoroscopy usage, the time needed for normalization of infection parameters (white blood cells (WBC), C – reactive protein (CRP), procalcitonin), and complications were observed. Results From 105 patients, 56 patients were in DJ stent group and 49 patients were in PCN group. According to intraoperative data, operative time and fluoroscopy duration were significantly shorter in the DJ ureteral stent group (P < .001). WBC returned to normal range in mean 3.5 ± 1.3 days in the DJ stent group and 3.2 ± 1.1 days in the PCN group (95% CI: −0.76–0.21, P = .268). There were no statistically significant differences identified for the duration for CRP, PCT and fever to return to normal range between the drainage methods. The complication rates was 51.8% for DJ stent group and, 30.6% in PCN group (P = .028). Conclusion Both methods are effective and safe in obstructive pyelonephritis. Despite the higher complication rate in DJ stent group, these complications were minor